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DR. LAURIE ANN DECKARD-TANKERSLEY PSY.D.
NPI 1083659445
Psychologist - Clinical in Ormond Beach, FL

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
137 MILL SPRING PL, ORMOND BEACH, FL 32174(773) 733-6629(386) 463-2170 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laurie Ann Deckard-tankersley Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAURIE ANN DECKARD-TANKERSLEY PSY.D. (NPI 1083659445) is an individual clinical provider in Ormond Beach, Florida, licensed in Illinois (071006688) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1083659445
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAURIE ANN DECKARD-TANKERSLEYCredential: PSY.D.
Location Address137 MILL SPRING PLOrmond Beach, FL 32174-4820
Mailing Address137 Mill Spring PlOrmond Beach, FL 32174-4820 · (773) 733-6629 · Fax (386) 463-2170
Phone(773) 733-6629
Fax(386) 463-2170
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 19, 2018
✔ NPI 1083659445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071006688
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
137 MILL SPRING PL, Ormond Beach, FL 32174
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Laurie Ann Deckard-tankersley Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456452770
PECOS Enrollment IDI20251002002225
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESSIVE PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
137 MILL SPRING PL
ORMOND BEACH, FL 32174
Flagler County (773) 733-6629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurie Deckard-tankersley's NPI number?

The NPI number for Laurie Deckard-tankersley is 1083659445. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Laurie Deckard-tankersley located?

Laurie Deckard-tankersley practices at 137 Mill Spring Pl, Ormond Beach, FL 32174. The listed phone number is (773) 733-6629.

What is Laurie Deckard-tankersley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laurie Deckard-tankersley enrolled in Medicare?

Yes. Laurie Deckard-tankersley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laurie Deckard-tankersley was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.